NPIMap

Organization Active NPI

Hutcheson Medical Center Employee Pharmacy

  • Pharmacy
  • Ft Oglethorpe, GA
National Provider Identifier
1942295142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE004853 Issued in GA
Legal business name
HUTCHESON MEDICAL CENTER EMPLOYEE PHARMACY
Practice address
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742-3643
Phone
(706) 858-2279
Fax
(706) 858-2676
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carl J. Hale, R.P.H.
Title
Pharmacy Director
Phone
(706) 858-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE004853 GA Primary

Addresses

Primary practice location

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742-3643

Mailing address

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742-3643
Phone (706) 858-2279

Other identifiers 3

IdentifierTypeStateIssuer
1121552OtherGANABP NUMBER
00001075BMedicaidGA
PHRE004853OtherGAGA PHARMACY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Chickamauga Family Prac2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942295142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROSS CRESCENT CIR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423643",
            "telephone_number": "706-858-2279",
            "fax_number": "706-858-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROSS CRESCENT CIR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423643",
            "telephone_number": "706-858-2279",
            "fax_number": "706-858-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHESON MEDICAL CENTER EMPLOYEE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "706-858-2277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE004853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1121552",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001075B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA PHARMACY LICENSE",
            "identifier": "PHRE004853",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.